NITROFURANTOIN 25 MG/5 ML SUSP

Drug Details

General

Brand Name: NITROFURANTOIN 25 MG/5 ML SUSP
Generic Name: nitrofurantoin
Manufacturer: ANI PHARMACEUTI
NDC: 70954049610
Package size: 230ML

Drug Information

Family Planning drug: No
Diabetic Supply Drug: No
HTW drug: No
HTWPlus drug: No
Long-acting reversible contraception product: No
Refill-to-soon Utilization*: 75%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 6.08749
Retail Pharmacy Eff Date: 09/11/2023
Specialty Pharmacy Cost: 5.71479
Specialty Pharmacy Eff Date: 09/11/2023
Long-term Care Pharmacy Cost: 6.00053
Long-term Care Pharmacy Eff Date: 09/11/2023
340B Rate: 2.67104
Premium Preferred Generic Incentive‡: No

* Impacts only claims paid by HHSC: traditional Medicaid, CSHCN, HTW, and KHC Programs.

† Refer to the Specialty Drug Handbook for more information..

‡ Refer to the Premium Preferred Generic Drugs section for information about traditional Medicaid claim pricing and PPG pricing incentives.